Individual provider Active NPI

Elektra Burgos, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1932845047
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22096 Issued in FL
Practice address
13155 SW 134TH St Ste 202
Miami, FL 33186-4488
Phone
(786) 504-3119
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X FL
Clinical Social Worker 1041C0700X SW22096 FL Primary

Addresses

Primary practice location

13155 SW 134TH St Ste 202
Miami, FL 33186-4488

Mailing address

14738 SW 178TH Ter
Miami, FL 33187-7709
Phone (786) 368-5474

Other practice location 1

31 N Krome Ave
Homestead, FL 33030-6014
Phone (786) 481-5909

Other practice location 2

22133 S Dixie Hwy
Miami, FL 33170-2840
Phone (786) 504-3119

Other identifiers 2

IdentifierTypeStateIssuer
120666400MedicaidFL
119802300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611004585 FL Practitioner - Clinical Social Worker 4486196912 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince May 7, 2024 Accepting new patients
Florida Personal Management LLC CurrentSince Oct 14, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

22133 S Dixie Hwy
Miami, FL 33170
Phone (786) 504-3119

13155 SW 134th St
Ste 202
Miami, FL 33186
Phone (786) 471-1929

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1932845047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14738 SW 178TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877709",
            "telephone_number": "786-368-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 SW 134TH ST STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864488",
            "telephone_number": "786-504-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 N Krome Ave",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330306014",
            "country_code": "US",
            "telephone_number": "786-481-5909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22133 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331702840",
            "country_code": "US",
            "telephone_number": "786-504-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "ELEKTRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120666400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119802300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.